# JENNIFER A. NEISE, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407292360
- **Authorized official:** DR. JENNIFER NEISE D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 778-7585

## Contact information

- **Practice address:** 3132 W STATE ROAD 38, PENDLETON, IN 46064-8702
- **Practice address phone:** (765) 778-7585
- **Mailing address:** 3132 W STATE ROAD 38, PENDLETON, IN 46064-8702
- **Mailing address phone:** (765) 778-7585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D12010223A | IN | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 05/20/2013